Category: pandemic

Chicago Tribune: No religious exemptions for vaccines

November 8, 2021 • 12:45 pm

This Chicago Tribune op-ed is unusual in that it proposes an ironclad rule: no religious exemptions from vaccination requirements. I happen to agree with that; my view is that the only exemptions from mandatory vaccination, where it is decreed for health reasons, should be ones for people whose lives or health are endangered by getting the injection. So good for author Steve Chapman!

Click to read. If you’re paywalled, make a judicious inquiry

Now I disagree with Chapman on one point: he thinks that people should be exempted from the Covid vaccination if they provide “persuasive evidence that they are acting on the iron imperatives of faith rather than personal whim.” But he does note that proving such evidence is very dicey, and that “the number of people who could legitimately qualify is too tiny to be worth the bother”. In the main then, we both think that you should not bother. No religious exemptions—only medical ones.

He makes several other points, some of which have been discussed here (I’ve added one or two myself). Direct quotes are in quotes:

1.) “No major faith bars its followers from being immunized against disease. Even Jehovah’s Witnesses, which rejects blood transfusions, and Christian Science, which discourages medical treatment, don’t forbid it.”

2.) “A lot of the holdouts have never claimed religious objections to other vaccines. Most, it’s safe to say, couldn’t articulate any halfway plausible rationale to refuse.”

3.)  All states have mandatory childhood vaccinations—sometimes more than a dozen shots—to attend public school.

4.) Some states do not allow religious exemptions for these childhood vaccinations; they include (this is a comprehensive list) Mississippi, West Virginia, California, Connecticut, Maine, and New York. There should be fifty states on that list.

5.) There is a reason for mandatory vaccination for both children and, for Covid, for adults. This is of course to protect us against a pandemic, and to protect you from infecting others who haven’t gotten the shot or can’t get the shot. In my view, there is no reasonable religious excuse that can override that. To a diehard atheist, saying that “my faith in God prevents me from considering the vaccine” sounds like “my faith in Santa Claus prevents me from considering the vaccine”.

6.) There is no stipulation in federal law that you are allowed to get an exemption because of religion. As Chapman notes:

“In 1990, the Supreme Court ruled that the Constitution’s guarantee of religious freedom doesn’t mean believers are exempt from laws that apply to everyone else.

To rule otherwise, the court said, would lead to ‘religious exemptions from civic obligations of almost every conceivable kind — ranging from compulsory military service to the payment of taxes’ and, yes, ‘compulsory vaccination laws.’ The author of the court’s majority opinion? Conservative hero Antonin Scalia.”

Privileging faith over the common good doesn’t make sense. Matthew 22:21 says “”Render unto Caesar the things that are Caesar’s, and unto God the things that are God’s”. The public well-being is Caesar’s. The idea that a delusion should make you exempt from things required by others does of course have purchase in other areas, for the U.S. is hyperreligious. But we have to think about how far we want to privilege faith while still allowing freedom of worship. We don’t allow people to beat up others because their faith decrees it. Why should we allow people to endanger others because their faith decrees it?

Advice from my primary care doc: Should you get a booster? If so, which one?

October 25, 2021 • 10:45 am

If you’re contemplating getting a booster shot, as I did (the Pfizer), you should read this blog post by Dr. Alex Lickerman, my primary care doc who has, as you may know, written a whole series on Covid-19 for the layperson.  This is post #16.  Click on the screenshot below to read his booster take and see links to the other posts.  NOTE: Alex has kindly agreed, as he often does, to answer readers’ questions about Covid, so fire away in the comments section below.

Here’s the intro, the short take, and then below I’ll list the topics he takes up:

In this post, we explore the pros and cons of getting a third booster shot (or second booster shot if you got the J&J vaccine) against COVID-19. As usual, if you’re less interested in how we got to our conclusions than you are in the conclusions themselves, feel free to skip to the BOTTOM LINE in each section and the CONCLUSION at the end.

Question: Should you get a third booster shot?

Answer: It depends on how likely you are to have a bad outcome if you contract COVID-19 as well as your specific goals in getting vaccinated.

The topics of the post:

ESTIMATES OF CONTINUING VACCINE EFFECTIVENESS

WHAT DOES WANING EFFECTIVENESS MEAN IN THE REAL WORLD?

BENEFITS OF A THIRD SHOT

RISKS OF A THIRD SHOT

WHAT THIRD SHOT SHOULD YOU GET?

I got my booster because I’m older and thereby in the ‘at risk’ group, but I’m also going to Antarctica on a ship for a month in March, and wanted the extra protection.  Note: Alex also recommends in his post which of the possible boosters will boost you the most. But you’ll have to see that for yourself.

Ivermectin: still horsewash

September 26, 2021 • 10:30 am

Yes, I know that ivermectin is used against human lice, rosacea, and worms, and is safe when used properly. And it’s also used against worms in horses, though the veterinary formula appears to differ from the human drug, so those people who buy and swallow animal ivermectin are just dumb.

What I do not know, because the data are unclear, is whether ivermectin is a palliative or preventive of Covid-19. Some studies say that, but none of the studies published so far adhere to the gold standards of drug testing: double-blind randomized tests with very large sample sizes, carried out over a decent length of time. If you look at the FDA link to existing studies below, you’ll see that only one study used a placebo, and only a couple used “standard care”, (i.e. neither vaccination nor drug given).  Most studies appear to be retrospective analyses of ivermectin treatments without controls, and those are worthless.

Because of this, the FDA has definitely warned against ivermectin’s use against covid (and gives a link to existing tests). FDA says this:

Here’s What you Need to Know about Ivermectin. 

  • The FDA has not authorized or approved ivermectin for use in preventing or treating COVID-19 in humans or animals. Ivermectin is approved for human use to treat infections caused by some parasitic worms and head lice and skin conditions like rosacea.
  • Currently available data do not show ivermectin is effective against COVID-19. Clinical trials assessing ivermectin tablets for the prevention or treatment of COVID-19 in people are ongoing.
  • Taking large doses of ivermectin is dangerous.
  • If your health care provider writes you an ivermectin prescription, fill it through a legitimate source such as a pharmacy, and take it exactly as prescribed.
  • Never use medications intended for animals on yourself or other people. Animal ivermectin products are very different from those approved for humans. Use of animal ivermectin for the prevention or treatment of COVID-19 in humans is dangerous.

It also notes that ivermectin, though safe when taken as directed by itself, can interact negatively with other drugs taken by humans.

And here’s one other thing I don’t know for sure, but strongly suspect: if you have a choice of getting vaccinated with any of the major vaccines, and not taking ivermectin, versus another choice of not getting vaccinated but taking ivermectin, your chances of illness and death will be higher if you choose the latter, and that includes possible side effects of both treatments. I don’t think there’s been a controlled study of this, but we’ll have the data some day.

Sure, it’s possible that ivermectin may have some useful effects against Covid-19, preventing or mitigating its symptoms. But we can’t say that with confidence until the results of large studies in progress are completed. They’re not, so those who tell you to take ivermectin and avoid “dangerous” vaccinations are, insofar as they’re influencing anyone, putting lives at risk.

A new letter by five researchers in Nature Medicine (below) examines the studies combined in meta-analyses that purport to show the efficacy of ivermectin for Covid-19. The researchers find flaws in some of them that are so serious that they probably invalidate the conclusions. Click on the screenshot to read for free:

I’ve left out the references, but you can see them in the original letter. Here’s the gist of the author’s conclusions:

Research into the use of ivermectin (a drug that has an established safety and efficacy record in many parasitic diseases) for the treatment and/or prophylaxis of COVID-19 has illustrated this problem [relying on “high volumes of recent, often unpublished trial data of variable quality”] well. Recently, we described flaws in one randomized control trial of ivermectin, the results of which represented more than 10% of the overall effect in at least two major meta-analyses. We described several irregularities in the data that could not be consistent with them being experimentally derived. That study has now been withdrawn by the preprint server on which it was hosted. We also raised concerns about unexpected stratification across baseline variables in another randomized controlled trial for ivermectin, which were highly suggestive of randomization failure. We have requested data from the authors but, as of 6 September 2021, have not yet received a response. This second ivermectin study has now been published, and there is still no response from the authors in a request for data.

It is highly unethical for scientists to withhold published data from other researchers! The letter continues:

The authors of one recently published meta-analysis of ivermectin for COVID-19 have publicly stated that they will now reanalyze and republish their now-retracted meta-analysis and will no longer include either of the two papers just mentioned. As these two papers were the only studies included in that meta-analysis to demonstrate an independently significant reduction in mortality, the revision will probably show no mortality benefit for ivermectin.

Several other studies that claim a clinical benefit for ivermectin are similarly fraught, and contain impossible numbers in their results, unexplainable mismatches between trial registry updates and published patient demographics, purported timelines that are not consistent with the veracity of the data collection, and substantial methodological weaknesses. We expect further studies supporting ivermectin to be withdrawn over the coming months.

Since the above primary studies were published, many hundreds of thousands of patients have been dosed with ivermectin, relying on an evidence base that has substantially evaporated under close scrutiny.

All I know is that I wouldn’t take ivermectin without FDA or CDC approval, and if you’re doing so in lieu of getting vaccinated, you’re foolish.

The researchers also suggest a different way besides large double-blind tests or meta-analysis to analyze data (assuming it’s good data):

Most, if not all, of the flaws described above would have been immediately detected if meta-analyses were performed on an individual patient data (IPD) basis. In particular, irregularities such as extreme terminal digit bias and the duplication of blocks of patient records would have been both obvious and immediately interrogable from raw data if provided.

We recommend that meta-analysts who study interventions for COVID-19 should request and personally review IPD in all cases, even if IPD synthesis techniques are not used. In a similar vein, all clinical trials published on COVID-19 should immediately follow best-practice guidelines and upload anonymized IPD so that this type of analysis can occur. Any study for which authors are not able or not willing to provide suitably anonymized IPD should be considered at high risk of bias for incomplete reporting and/or excluded entirely from meta-syntheses.

Hurdles to the release of IPD from clinical trials are well described, and generally addressable with careful anonymization and integration of data sharing plans at the ethical approval stage of trial planning.

We recognize that this is a change to long-accepted practice and is substantially more rigorous than the standards that are typically currently applied, but we believe that what has happened in the case of ivermectin justifies our proposal: a poorly scrutinized evidence base supported the administration of millions of doses of a potentially ineffective drug globally, and yet when this evidence was subjected to a very basic numerical scrutiny it collapsed in a matter of weeks. This research has created undue confidence in the use of ivermectin as a prophylactic or treatment for COVID-19, has usurped other research agendas, and probably resulted in inappropriate treatment or substandard care of patients.

Meta-analyses, of course, usually combine the results of different studies of a treatment to arrive at an overall conclusion, while IPD uses each patient across many studies as an individual datum to get an overall conclusion. I haven’t investigated the niceties of this analysis, but you can go here or here to see how it’s done.  I am not necessarily recommending this type of analysis, as I haven’t studied it, and those combined patients could also represent data that is dubious but undetectably so. I would therefore still recommend a large number of random, double-blind tests of ivermectin, each including large samples of patients as well as a control group given a placebo.

In the meantime, don’t listen to the neigh-sayers about vaccines. If you don’t have medical contraindications, get your jabs! (This is my recommendation as a doctor, though the wrong kind of doctor.)

Should there be religious exemptions from vaccine mandates?

September 7, 2021 • 9:15 am

The other day I had a bright idea for a post on my drive to the store, and, since my short-term memory has always been lousy, I should have made a note to myself. SInce I didn’t do that, I promptly forgot it, though I knew the topic was interesting.

I was, however, just reminded of what I’d thought of by seeing the title below of a NYT op-ed by Curtis Chang (identified as “a co-founder of Christians and the Vaccine, a consulting faculty member at Duke Divinity School and the C.E.O. of CWR, a management consultancy serving secular nonprofits and government agencies”).

I haven’t yet read this op-ed except for the title, so let me first give my own view before I parse the article.

First, I agree with the title wholeheartedly.  The only people who should be exempted from vaccine mandates are those who might be injured by vaccines, including the immunocompromised.  Now adults above a certain age should be allowed to make medical decisions if those decisions don’t endanger anyone else. Thus, if you have appendicitis and are one of those sects that don’t accept medical intervention (Christian Science is supposed to be one, but members often sneak around the restrictions), it’s okay by me if you reject the operation and endanger yourself. (If you have a wife and kids, however, that may be another matter, largely because the kids, who could be left without a parent, don’t get to choose their faith.)

But with vaccinations, you’re endangering not only yourself by rejecting science-based medicine, but others as well. Thus, if you refuse the Covid shot on religious grounds, you’re endangering other people because you might get infected and spread the virus. Even if nearly everyone else is vaccinated, you could still infect the few who aren’t. Even the Bible talks about rendering unto Caesar. Well, Caesar is the state, and to the state belongs the purview of preventing pandemics and epidemics.

The fact that religious people are allowed to refuse medical care for their kids in some places, or get a slap on the wrist when they do—even when the child dies—is absolutely unconscionable. It’s one of the unjustified forms of “respect” that we afford to religious beliefs. The subject of religion and healthcare is largely the subject of the last chapter of my book Faith Versus Fact, and I tell some horrific stories of those who believe in faith healing letting their children die in the vain hope that God would save them. This should be a felony, and it is in some places, but all too often that unwarranted “respect” for faith gets parents either off the hook or with a minimal sentence. And all too often those parents justify their behavior, even when, by withholding medical care, they’ve killed their own child. As I note in my book (p. 234):

It’s not just the parents who are at fault. Religious exemptions are written into law by the federal and state governments—that is, those who represent all Americans. In fact, 38 of the 50 states have religious exemptions for child abuse and neglect in their civil codes, 15 states have such exemptions for misdemeanors, 17 for felony crimes against children, and five (Idaho, Iowa, Ohio, West Virginia, and Arkansas) have exemptions for manslaughter, murder, or capital murder. Altogether, 43 of the 50 states confer some type of civil or criminal immunity on parents who injure their children by withholding medical care on religious grounds.

As for vaccinations, there should be no religious exemptions for getting them, regardless of the dictate of your faith. That’s because refusing a vaccine is not a decision with purely personal consequences, but can have widespread and deleterious effects on other people. And yet, as I note further in my book (pp. 235-236):

Religious exemptions for vaccinations, allowed in 48 of the 50 U.S. states (all except Mississippi and West Virginia) endanger not only the children who don’t get immunized, but the community in general:  not everyone gets vaccinated, and even those who are don’t always acquire immunity. To attend public schools and many colleges, like the one where I teach, students must show evidence of vaccination for diseases like hepatitis, measles, mumps, diphtheria, and tetanus. The only exemptions permitted are for medical reasons, like a compromised immune system—and religion.

Nor are Christians the only believers who oppose immunization. Islamic clerics in Afghanistan, Pakistan, and Nigeria urge their followers to oppose polio vaccination, declaring it a conspiracy to sterilize Muslims. These efforts may prevent the complete eradication of polio from the human species, something already been achieved for smallpox. Dr. A Majid Katme, spokesman and former head of the Islamic Medical Association of the UK, described by the Guardian as “a respected figure in the British Muslim community,” has come out against all childhood vaccination, claiming that “the case of vaccination is first an Islamic one, based on Islamic ethos regarding the perfection of the natural human body’s immune defense system, empowered by great and prophetic guidance to avoid most infections.”  Taking his advice would, of course, be disastrous.

In all states, immunizations are required for public school enrollment, except for medical, religious and philosophical exemptions. Here’s the latest map (2021) of exemptions, taken from The National Conference of State Legislatures. As you can see, since my book was published in 2015, it appears that four states—Maine, New York, Connecticut, and California—no longer grant religious exemptions for vaccination. That’s good news. Note as well that only 15 states allow philosophical exemptions (the striped ones are also blue, meaning that they allow religious exemptions too). This shows not only that religion gets precedence over philosophy, but also that this precedence makes no sense, since a philosophical exemption is presumably a “reasoned” one (misguided though it may be), while religious dictates come from scripture or authority. Every state in the map below should be white.

Now I’ll read the article, and you are free to at any time by clicking on the screenshot below.

Chang and I largely agree, but diverge in three important ways:

First, though, he notes that the religious exemption comes from Title VII of the Civil Rights acts, which “require American employers to accommodate employees’ religious beliefs.” And those are the grounds on which many people are claiming religious exemption from the Covid vaccination, though Chang believes that these religionists aren’t really doing it on religious grounds (which don’t exist anyway, see below), but are “nonreligious and rooted in deep-seated suspicion of government and vulnerability to misinformation.”

Further, and this is what made me realize originally that this topic deserves a post, how many religions really have dictates prompting their followers to refuse vaccination?  We know about Christian Science, of course, and there are dozens of evangelical Christian sects, largely in the American Northwest, that refuse medical care as part of their faith. But try to find a justification for that in scripture. As Chang notes:

. . . there is no actual religious basis for exemptions from vaccine mandates in any established stream of Christianity. Within both Catholicism and all the major Protestant denominations, no creed or Scripture in any way prohibits Christians from getting the vaccine. Even the sect of Christian Scientists, which historically has abstained from medical treatment, has expressed openness to vaccines for the sake of the wider community. The consensus of mainstream Christian leaders — from Pope Francis to Franklin Graham — is that vaccination is consistent with biblical Christian faith.

Biblically based arguments against vaccination have been rebutted. The project Christians and the Vaccine, which I helped to found, has created numerous explainer videos in an effort to refute attempts by anti-vax Christians to hijack pro-life values, to distort biblical references like the “mark of the beast” and to inflame fears about government control. Christians who request religious exemptions rarely even try to offer substantive biblical and theological reasoning. Rather, the drivers for evangelical resistance are nonreligious and are rooted in deep-seated suspicion of government and vulnerability to misinformation.
Chang is doing a good deed by pointing out the weakness of religious exemptions for vaccination, and by insisting that all employers should get rid of religious exemptions for coronavirus vaccines (he specifies “for Christians”, but I think no religious exemptions should be allowed).

That’s one way we differ. The other is that Chang appears to think that Christians have a “right” to refuse the vaccine in general, though not necessarily to be employed without it:

My plea to my fellow Christians: If you insist on refusing the vaccine, that is your right. But please do not bring God into it. Doing so is the very definition of violating the Third Commandment, “Thou shalt not take the name of the Lord thy God in vain.”

I don’t think there’s a “right” for Christians to refuse vaccines deemed essential by the state. They have no more right to do that than to refuse to pay taxes on religious grounds, nor to send their children to public schools without the required shots (except, of course, for those pesky exemptions).  And not paying taxes is far less harmful to society than walking around with a possibly infectious microbe.  Everyone should be vaccinated for diseases like Covid unless there are medical contraindications. I can see no reason not to. People may say that a few people may suffer serious side effects, but those are far less harmful than living through a pandemic.

Finally, many religious schools allow unvaccinated children to attend, and some parents are sending their children there, or homeschooling them, to get around the normal vaccine requirements (right now only older children must be vaccinated). For safe vaccines, as Covid-19 jabs will surely prove to be for younger children, all children everywhere must be vaccinated, just like adults. After all, even religious children mingle with the general public, and endanger them when they’re unvaccinated.

Of course given my view that religion is man-made and generally detrimental to society (this is of course demonstrated by the last chapter of my book), I would object to any favoritism based on religion that doesn’t apply to secular people. (This doesn’t mean, though, that I favor philosophical exemptions to vaccination!) But you don’t have to go that route when making the argument that nobody should be exempt from a Covid vaccination except on medical grounds. The public health argument is sufficient.

Perhaps you disagree, or have other views. By all means, use the comments to air your thoughts.

The latest from my doc on the pandemic, vaccinations, masks, and Delta

August 9, 2021 • 12:30 pm

My extremely competent and science-oriented physician, Dr. Alex Lickerman, has written post #14 in his continuing series about the coronavirus and the pandemic. It’s free, and you can read it by clicking on the screenshot below.

This one answers a number of questions that many of us have. I’ll give a precis of the answers at the end, but you need to read the whole thing. After all, immunized or not, it’s your health. I think you’ll find the answers reassuring.  And what I like about this post, as with the others, is that the answers are completely driven by data.  When the data are ambiguous or unclear, Alex lets us know.

Alex has volunteered to answer readers’ questions, so feel free to ask them in the comments section below.

Some of the questions asked and answered (or not answered if we don’t have data):

  • Is the Delta variant of cornavirus more contagious than other strains of the virus.
  • Does the Delta variant cause more severe disease than the other variants?
  • How effective are the vaccines against the Delta variant?
  • How much do we need to worry about “breakthrough infections?  Here I’ll quote something Alex notes:

But here’s the bottom line: the absolute risk of becoming infected to which vaccinated people are being exposed in most situations in which they find themselves will be far less than 7.2 to 28.8 percent.

This does explain, however, why breakthrough infections with Delta can and do occur. But what we care about most—and what the vaccines were really designed to mitigate—isn’t the risk of catching COVID-19. It’s the risk of being hospitalized and dying from it (as well as the risk of developing long-COVID). Here, the CDC data tells the real story: as of this writing (at a time when, as mentioned above, the Delta variant is the dominant strain infecting people in the U.S.), of 164 million people fully vaccinated (with a mix of the mRNA vaccines and the J&J vaccine), 5,285 people have been hospitalized for COVID-19 (which yields a risk of being hospitalized from severe COVID-19 if you’re immunized of 0.003 percent), and of those 1,191 died (which yields a risk of dying from COVID-19 if you’re immunized of 0.0007 percent). When you consider the risks most of us take every day without worrying about them at all—for example, over the course of a year, the odds of getting into a car accident are 3.7 percent on average and the odds of dying in a car accident are 0.3 percent, making the annual risk of dying from a car accident 0.01 percent, which is 14 times the risk of an immunized person dying from COVID-19—our inability to think statistically clearly has us afraid of the wrong things. (This goes for the decision to be vaccinated as well: our annual risk of dying from a car accident turns out also to be 14 times the risk of the most common serious adverse reaction to the vaccines—blood clots with the J&J vaccines—which occurs at the same rate as the rate of death from COVID-19 if you’re fully immunized, a rate of 0.0007 percent.)

  • Does immunity conferred by the vaccines wane over time? If so, at what rate?
  • Should we be looking to get “booster” (third) vaccinations?
  • Can fully vaccinated people spread the variant? If so, should vaccinated people mask up?
  • Is traveling safe now?

And I’ll give you a peek at the answers but, as I said, read the whole piece and then fire away with questions. A quote from the article:

CONCLUSION: It’s hard to know how to think about immunization, the Delta variant, and how we should behave in different circumstances to keep ourselves and those around us safe. We’re all seeing the science unfold in real time, revealing just how messy, uncertain, and difficult it is to figure out what’s really true. But, though it takes time, science ultimately gives us answers we can rely on. We can all argue about what policies make the most sense based on what the science shows, but it’s the science we should all use to help us guide our own behavior. And, as of this writing, the science says the following:

  1. The Delta variant is more contagious than other variants.

  2. The Delta variant may be more dangerous than other variants.

  3. The vaccines are likely somewhat less effective in preventing infection with the Delta variant, but still offer an enormous amount of protection. Breakthrough infections are occurring, but they are overwhelmingly mild.

  4. Vaccinated people probably can transmit the infection but almost certainly at a lower rate than unvaccinated people.

  5. The vaccines remain unbelievably effective at preventing hospitalization and death from the Delta variant, so much so that vaccinated people can continue to live as they did before the onset of the pandemic, with the possible exception of wearing masks to prevent asymptomatic spread to vulnerable people in areas of high prevalence of disease.

  6. A third booster shot for non-immunocompromised people doesn’t make sense at this point in the pandemic. Some people who are immunocompromised may want to consider a third shot.

Why do people think the coronavirus vaccine should be an exception to mandated vaccinations?

August 6, 2021 • 9:15 am

On the news last night, and almost every night, one can see irate parents objecting to their children having to be vaccinated for school (mostly college now), or having to wear masks. And the mantra they cry is “We’re the parents: we make the decisions for our children and know what’s right for them.” Likewise, much of the objection by adults to getting vaccinated centers around the freedom to make decisions that affect their own bodies. While that reason may hold water for things like abortion, it doesn’t work for vaccination, because your “freedom” can make other people sick, whether it be resistance to masks or to the jabs themselves.

Most of you, at least if you’re American, know that vaccinations are required to attend most public schools unless you file a religious objection, and so it’s not up to the parents to decide about getting jabs for their kids. They could, however, send their kids to religious schools, or try homeschooling, if they wish to avoid vaccination.

To check on this again, though, I looked up the public-school vaccination requirements for two states: my own liberal state of Illinois, which has been pretty strict about masks and restrictions during the pandemic, and Louisiana, which has the highest per capita rate of infection and a lot of vaccine resisters. It turns out that the school requirements for vaccination are pretty much the same for both states, and in fact require a fair number of jabs. Here are are for the states, with the links to where I got the data:

ILLINOIS:

Vaccinations

The State of Illinois requires vaccinations to protect children from a variety of diseases before they can enter school. Students must show proof of immunization against up to 12 vaccine-preventable diseases (the number and schedule of these vaccinations depend on a student’s grade and age).

More information about minimum immunization requirements for Illinois can be found here. A summary of State of Illinois immunization requirements by grade follows:

Pre-K: Immunization records that reflect the following:

    • Tetanus/Diptheria/Pertussis – four doses
    • Polio – three doses
    • MMR – one dose
    • Hepatitis B – three doses
    • Haemophilus influenzae type b (Hib) titer – 4 doses
    • Varicella (chicken pox) vaccine – one dose
    • Pneumococcal series, or one dose after the age of 2

Kindergarten: Immunization records that reflect the following:

    • Tetanus/Diptheria/Pertussis – 4 or more doses, most recent must be dated after 4 years of age
    • Polio – 4 dose series with the last dose dated on or after 4th birthday
    • MMR – 2 doses
    • Hepatitis B – three doses
    • Haemophilus influenzae type b (Hib) titer 4 doses – (not required after fifth birthday)
    • Varicella vaccine – 2 doses, first on or after first birthday, second no less than 28 days later

Grade 6: Immunizations as per kindergarten requirements listed above, plus

    • Proof of having received a Tdap booster
    • Proof of having received one Meningococcal vaccine (first dose received on or after student’s 11th birthday)

Grade 12: Immunizations as per grade 6 requirements listed above, plus

    • Proof of having received 2 doses of Meningococcal Vaccine with the second after age 16 (only one dose required if the first dose was received after the age of 16)

All students who are new to a district in any grade will be required to provide complete immunization records.

Exemptions to immunization requirements:

  • Religious: Parents/Guardians requesting religious exemptions from health requirements must complete the required form along with their child’s healthcare provider.
  • Medical: If your child has a physical condition that prevents adherence to the vaccination schedule, their healthcare provider should indicate this on a physical examination form or in written documentation. Depending on your child’s medical condition, this may need to be reviewed on an annual basis.

**************

LOUISIANA:

 

Note: Students can participate in school without the required immunizations listed above if either of the following are presented: 1) a written statement from a physician stating that the procedure is contraindicated for medical reasons; or 2) written dissent from the parent/guardian.

The requirements for both states are pretty much the same, except that Illinois requires flu shots and Louisiana doesn’t. Also, Illinois will exempt kids only if they have religiously-based objections or medical contraindications. In contrast, while Louisiana, like Illinois, allows religious exemptions, it also allows parental exemptions of any sort, and I’m not sure if any written dissent will suffice.

As I wrote several years ago, religious exemptions from vaccination requirements are nearly ubiquitous:

  • 48 states have religious exemptions from immunizations. Mississippi and West Virginia are the only states that require all children to be immunized without exception for religious belief.

That those two states don’t allow religious exemptions is surprising, as they’re both in the South. But good for them: there should be NO religious exemptions allowed for vaccination given that if you get ill you can make others ill. This is a case of rendering unto Caesar what is Caesar’s. And public healthcare is Caesar’s purview, not God’s.

This is only one of many religious exemptions from children’s healthcare that are required; see the post just above (and this one). Being religious gets you a real break if you don’t want to have to give your kids science-based medical care when they’re ill (I wrote about this in Faith Versus Fact.)

What about nonreligious objections? I assume that every state, like Illinois, allows students to be exempt from some vaccinations if they have medical conditions that may make vaccination dangerous, but I haven’t looked that up. What I have looked up is nonreligious and nonmedical exemptions: philosophical or “other” exemptions like those in Louisiana. Here’s what I found:

In 20 of those [48 states that allow religious exemptions from vaccination], you can also avoid vaccination if your exemption is based on philosophical reasons.

So in 48 states you can avoid jabs if you have a religious reason (and I’m not sure how strict they are about what “religion reason” counts), and in 20 you can avoid jabs if you have a philosophical reason. (I imagine that they’re not too strict about what constitutes a “philosophical reason.”) Ergo, religious belief trumps rational thought—though I’m not arguing that there are rational objections to most vaccines. It just shows how much American’s prize religion over philosophy.

In 30 states, then, your children must get vaccinated regardless of the parents’ wishes unless they can make a religious case.

But neither philosophical nor religious reasons constitute, in my view, valid reasons to exempt public-school students from vaccination. In fact, one can argue that all children, regardless of whether they attend public school or not, should be vaccinated unless there are medical contraindications.

The point of all this is that—except for religion—there is no parental “right” to decide whether or not to get their children immunized—not if they want them to go to public schools.  It makes me angry to hear those parents vehemently assert their “rights”, without any apparent awareness that those “rights” deprive other children of the “right to stay healthy by not being forced to go to school with unvaccinated kids.” It’s like the old but true bromide: “Your liberty to swing your fist ends just where my nose begins.”

I feel the same way about masking. Though the data on mask efficacy isn’t as thorough as for vaccine efficacy, if public-health officials in a state look at the data and decide that masks prevent the spread of infections to and fro, there should be no parental “right” to disobey. Parents can of course object and make a data-driven case, but if they fail, well, they’ll have to send their kids to St. Corona’s.

Now parents could argue that the mandated vaccines for school have been around a much longer time, so we know what any deleterious effects might be, while the newer jabs are “unproven”. But if you know the statistics, that objection doesn’t wash much. Yes, there may be longer-term effects of the jabs that we don’t yet know about, but what are the chances of those effects outweighing the substantial protection from illness and death that the vaccines confer?  Well over 95% of people in hospitals with Covid-19 now are unvaccinated.

I am always wary when one invokes “rights” as an argument stopper, for that smacks of objective morality when in fact, as with most things claimed to be “rights”, they are subjective decisions based on a philosophy of social harmony. As a consequentialist utilitarian, I prefer “dicta”—we should make those rules with the most salubrious effects. And I don’t think one can argue that allowing people to avoid avoid vaccination when they have no good reason to do so (unless they are hermits), or avoid letting their kids get vaccinated, is a better alternative than letting everybody decide for themselves.  Now, the U.S. yet has no laws for doing this except for schoolchildren, but I’m in favor of them, particularly laws that you can’t work at company X unless you are vaccinated against coronavirus. I hope Biden mandates this for federal workers.

Call me a hardass; it won’t bother me.

Jennifer Haller, left, smiles as the needle is withdrawn after she was given the first-stage safety study clinical trial of a potential vaccine for COVID-19, the disease caused by the new coronavirus, Monday, March 16, 2020, at the Kaiser Permanente Washington Health Research Institute in Seattle. (AP Photo/Ted S. Warren)

My brilliant idea on how to get people vaccinated

August 3, 2021 • 12:30 pm

If you watch the evening news, as I do daily, you see that virtually all the commercials are aimed at medical problems of the elderly: psoriasis, metastatic cancer, arthritis, and so on. That alone tells you the demographic of people who watch the evening news (all the younger people get their news from Trevor Noah).

But the commercials I find most effective, although I don’t smoke, involve direct testimony from people who got cancer from smoking. They show people whose throats have been largely excised, who have to talk with a mechanical device, who are on permanent oxygen, who show their open-heart surgery scars, or who are on their deathbeds—all telling you that they wish they’d realized the consequences of their behavior. Actually seeing those consequences surely makes people think twice, and it’s for that reason that in some countries they put disgusting pictures of cancer-riddled lungs on the sides of cigarette packs. They wouldn’t have ads like that if they didn’t work.

And then, on the news reports themselves, you see people whose relatives or loved ones have died of COVID, or people who are recovering from a bad case of the virus; and these people often say, “I wish I’d gotten vaccinated.” Last night there was a segment on an unvaccinated woman who was pregnant. She had to be intubated, and while she was under the hospital delivered her 8-week-premature baby. Fortunately, both mom and baby are fine, but she added that she wouldn’t want anybody putting their children in danger like she did.

That inspired me. Why don’t the CDC or NIH turn those pronouncements into advertisements to get vaccinated? It can’t be hard to dig up people who got COVID and were sorry they didn’t get their jabs and who would also be willing to be on television. After all, I see them almost nightly. Or show a man in a hospital bed, recovering from a bad case of the virus, who tells the viewers not to let themselves be put in his position. Or show the relatives, friends, and loved ones of those who died, saying that they’d still have their people with them if they’d been vaccinated.

Surely those ads would inspire people to get vaccinated—at least inspire them more than hearing Anthony Fauci or Rochelle Walensky drone on about the delta variant—talking heads who also appear nightly, taking up far more time on the news. Of course we need to hear what they have to say, but they are not as much as a stimulus as hearing from the unvaccinated, those who got ill, on commercials aimed at the 100 million Americans who refuse to get their jabs.

And don’t tell me that the government doesn’t have the money to pay for such ads. For one thing, the television stations probably wouldn’t charge for them, as they are public-service ads. Second, the government is about to pay people $100 each to get vaccinated, so there’s spare dosh sitting around somewhere. Better invest that money in ads than in direct payments for those who get the needle.

I think this is a very good idea. Do you?

Or, if you have a better idea, or even a different approach, please put it in the comments.